JENNINGS MEDICAL CENTER INC NPI 1770579195

NPI Information

JENNINGS MEDICAL CENTER INC is a family medicine in Saint Louis, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JENNINGS MEDICAL CENTER INC NPI is 1770579195. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6917 W FLORISSANT AVE
SAINT LOUIS, MO
ZIP 63136-638
Phone: (314) 383-1100
Fax: (314) 383-4929

The provider's authorized official is Nargis J Ahmad .
The authorized official title is Office Manager and has the following contact phone number (314) 383-1100.

The CLIA number assigned to this NPI record is 26D0440274 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/21/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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